tv [untitled] December 24, 2010 2:00am-2:30am PST
remove the victim quickly but bottom line, safely. lifting procedures, we're going to show you a demonstration what you do but when you do it, make sure you treat the patient and tell them what's going on. you want to crib the object. again, cribing goes underneath the object or the load to make sure it stays off the patient. that's the idea of cribbing. lift the load the height of one piece of cribbing. you want to lift a little at a time. you'll understand when we actually do this. whenever the object is set down, it never rests on the patient. it rests on the cribbing. here is the i-beam, here is the patient right here. they're going to build it high enough so the i-beam is resting on that cribbing right there because that would take the weight, hopefully take some of the weight off of the patient. so now here is the patient, here is the load right here on the patient, there's cribbing right here, there's a rescuer standing here with this lever.
the lever is resting on this fulcrum right here and they're going to lift this up and as they lift it, they are going to build the cribbing underneath the load so that the load will rest back on to the cribbing. so clear this area, let's find something we can use as a fulcrum. very good. let's find a fulcrum, let's find some cribbing and find a lever. so we need a lever that's long, right. we need a fulcrum that we can rest it on, then we need something we can use as cribbing. don't lift yet. you don't want to lift until you are ready. lift slowly, on 3. 1, 2, 3. . >> the fulcrum is under the cribbing. >> put it back on the patient.
get them out. we're going to show you 4 rescue carries. one of the rescue carries, we're actually going to have you do it, it's a blanket drag. something good if you are by yourself and you have to get somebody out, you get a blanket or a sheet or a throw rug. works well on this kind of floor, doesn't work well on carpet. a chair is a similar type carry. if you put them on a chair, it works much better. works great on stairs. last thing we're going to show you is an improvised blanket stretcher, how to carry somebody long distances. you want to use at least 4 people or 6, however many hands you can get on them. . >> grab that, make sure it's past their head. pull that out but only on the count. >> okay, on the count of 3. 1, 2, 3, roll.
>> okay, now while you have this person up, remember, about halfway, roll the person back. now you guys do it. you are going to grab the legs. >> count of 3, 1, 2, 3. take a look at the back again, everything look okay? roll them back down. . >> 1, 2, 3. >> move in close, move in tight. it's easier. okay, now you want to go that way. okay, you want to go my way. 1, 2, 3. >> okay, why don't you stop. >> 1, 2, 3. >> make sure your back is straight. >> basically when you are using a ladder out there, make sure you keep the ladder 10 feet away from wires. make sure the ladder is secure, that it's on stable ground, that it's even. if it's on a hill, we really don't want you to use it on a hill, but if it's on a hill,
make sure it's shimmieed with something stable. make sure it's at the right angle, we suggest 70 degrees. if you stick your hand on a rung, the angle of the ladder is about the right angle there. never let go of the ladder. stand in the center, climb straight up. if you climb on the edges of the rung, the ladder will go this way. look up so you know where you are going and you can see where you're going to climb. walk vertically. don't step off to the side of the ladder. kind of common sense. make sure you read chapter 7 through the
. >> this class is managing a disaster. what happens and how do we fit in? emergency operation plan, everything is going to go through the mayor. you have the office of emergency services, everything is supposed to come together over on turk street. that's where the ham radio base station is going to be. that's where they will have a set up. they will be communicating with all the different emergency response districts. that's where we fit in. we're going to fit into this emergency response staging thing into nert staging districts. each response district has its own little (inaudible) then the nert groups are broken up into the corresponding emergency
response districts and they are located at our fire department, battalion chief stations, basically there's a battalion chief there, he will be like the little commander of that district as far as we're concerned and the fire department's response. going to have the ham radio communication people there, they are going to set up a little base station in that fire station and they are also going to be in communication with the staging area in that district. this is what the big picture looks like, basically it's a little clearer than that, it goes up on the wall, but it's the city laid out in these response districts. it shows you where all the emergency facilities such as hospitals and police stations and fire stations and schools are. basically, there's a map that corresponds with your neighborhood. you want to get one so you can find out where in your neighborhood to go. once you've taken care of your families, your friends, your pets, your loved ones if you want you can go help out other people in your city.
there it is, a place for us to gather as nert members and there's our nert ics area. here is our structure. same kind of set up, sort of our version. command policy section, the planning group, they are up on top. then once things get rolling, you have your operations section, logistics section. here are our objectives on the nert team, figure out if it's big, if it's small, how do we keep track of what's going on? do we just remember it? are we going to rely on our computers, our pc's? no, we have to write it down the old-fashioned way. address, is there a fire, yes or no, damage, are there people injured, dead, can you get
there. where, what, any sort of damage, are there people involved, can you get to it? here is a nert status sheet. basically if you send somebody out, you want to send the members' names, what time they went out, when they came back, what the assignment was, any comments, and if you have an incident number that would be nice. who is the safety person? we don't want to send people out, just hey, go do this. we want to keep track of it. if they don't come back within a couple hours we have to send somebody to find them or at least checkup on them. if we don't know where they went and who they are, you have chaos. they might be hurt and they're going to stay hurt. we're going to roll on to disaster psychology. what does that mean? when people go through a disaster, their lives are wrecked. i saw this firsthand, i went down to help out with katrina thing in september. it's weird.
because you are dealing with people that lost everything and it's kind of hard to imagine that if you haven't done it yourself. basically, you know, she's looking at her curtains here, she probably hand-stitched those things. maybe they have been hanging there the last 5 or 6 years. everything in the house is wrecked, photos, keepsakes, it's a tough thing. and people deal with this kind of stress in different ways. we as disaster workers, we see it all the time. but we have a word we use, professional. we try to be professional around people that have suffered a loss like this because they don't want us to come -- you don't want to go into somebody's house and be joking and having a good time. it's unprofessional. when you are dealing with somebody who has a loss like this, just think of the word professional. that's what we try to do. this sort of body language here, she's trying to comfort here, do you think she's buying
it? not with that body language. she's not really buying it. some people won't. some people will never be the same. like that thing with katrina, some people are really good but you can tell just under the surface that they are a wreck. give them space, try to be professional, try to comfort them if you can, but some people won't let you. and don't take it personal. that's the main thing, just don't take it personal. sometimes people just can't be helped. they are not mad at you, they don't hate you, you are trying to help them. they probably understand that, but they have suffered a terrific loss and some people you can't help. but try. you got to try anyway. that's kind of why we're here, we want to try. some other feels, disorientation, physical or emotional numbness, loss of
trust or abandonment, cranky. i would be. if i had to go shave in the marina medal school, my cat ran away, i'd be pissed. team behavior, be calm. you don't want to be excited and crazed. be systematic, demonstrate by example. if you are calm and cool and under control, people will see you are there to help. if you act like a maniac, they are going to act like a maniac. pails yourself. you are going to reach a point where you had enough. take some time out, take the whole group, have a seat away from whatever you are doing and just take a break. that was part of the things they found in oklahoma, they blew that thing up and all the disaster service people were sitting there taking a break, you know, they worked 12 hour shifts, 12 on, 12 off, but their break area was right across the street. the whole time they were taking a break, they were sitting there thinking they ought to be helping.
so were they really getting a break in no. do something else. think about something else. pace yourself. emphasize teamwork, make sure everybody on the team is aware of the plan and if you are helping somebody, make sure they are aware of the plan. that's important. because some people just, what are you doing, why are you guys here? explain it to them. take a minute and explain it to them and they will help you, usually. it makes your job easier. rotate personnel as needed. people are going to get burned out, get tired. you don't want them to get hurt. take frequent breaks, eat and drink frequently and talk about what's going on. what's the disaster registry? we talked about this before. at each fire house there's a list of people in the neighborhood around that fire house, in that district, that may have mobility problems, they have special needs. if you guys know anybody that has those, get in touch with us, we can give them the form and basically have them fill it out.
what they will do is put the person's name and address in a lock box in the fire house. one of the jobs of the nert volunteers is to go to the fire house, get this lock box, they have the key, get the list of the names and send people out to check on them. for whatever reason, they might still be there. . >> exercise. basically to get you to start thinking how to prioritize the disaster and how you would send teams out to which incident you would handle. so let's make the assumption, today is saturday, an earthquake, magnitude 7.3 on the richter scale has struck 9.45 am this morning. the quake was on the north heyward fault and lasted 10 seconds. 45 minutes later, the city has widespread damage, fire, police
and paramedics are overwhelmed by thousands of calls. nert volunteers are gathering in appropriate staging areas. your objective is to set up a command structure and prioritize the incident. what is the first incident you want to respond to and why? what is the second incident you would respond to, and why? you would continue this process until all the incidents have been addressed. and you have to always remember what's the model of the nert program? come on, everyone, let's go. do the most good for the most amount of people. those who pick priority 1, 35 people reported missing or injured. what's the goal of the nert program? let's repeat it again. do the most good for the most amount of people. so, thus, what's the second incident you would go to? 9 elderly people. this is what you have to deal with.
once you dealt with people, then you would respond to other incidents. what is the mission of the fire department? save lives, protect property. life is much more important than property. all right, let's move on. so we've dealt with the people. once we dealt with the people incidents, they will now do property. so no particular order now. there's no particular order, we're just going to discuss this. a building is fully involved in fire. people have been reported missing. what can you do as nerts, as a nert team? rope it off, cordon it off. what else? good, runner to the fire department. do you have the tools and skills to extinguish a major fire? no, you don't. notify the erd, evacuate -- assist the fire department if we get there, but don't become a victim. smell of gas.
what can you do as nerts? turn off the gas. and what are the 3 situations when you want to shut the gas off? smell the gas, something -- oh, yeah, wheels are spinning and major building collapse. muni -- overhead muni wire, flopping around. what can you did as nerts? always assume all electricity is live and hot. so what can you do as nerts? cordon off the area, tell people to stay back. small fires reported in the rear of a building, what can you do as nerts? if it's still burning that small fire is now a very large fire. so all you can do is really notify the erd, evacuate the area, assist the fire department. five buildings have suffered heavy damage -- heavy damage, kind of a clue there. three of the buildings have collapsed. what can you do as nerts?
not quite nothing. would you go in to search a heavily damaged building? no. you will -- very good, notify erd, if there's a gas smell, shut the gas off. you can do something. even if it means everyone stay back, no one is trying to rush in. you are going to have your yellow helmet, orange vest. it's not a good idea, that building was pretty heavily damaged. are you going to fight them if they want to run in? no, let them go in. i would ask them to do what, though? what would you ask them before they went inside? can i have your name? and give me a phone number, i can contact maybe next of kin. is that kind of being cruel? no, you are trying to help them out because if they are rushing in, they may not come out. but at least you have a name. a physical description, a clothing description. is that helpful? yeah, it's going
yeah , it's goi ngto be helpful. with 9- 11, hurricane katrina, you have to take care of yourself because we're not going to be there. apply the nert perspectives to any suspected terrorism. we're going to use the term be nice. we're part of -- the president asked americans to volunteer to help improve your own community. you are doing that now. you are part of the umbrella called citizens corps. what's the objective? for you, it's to prepare for natural disasters, especially if you live here in san francisco, the earthquakes. form an exercise, neighborhood and workplace teams. is that what you're do ?g we did a little practice right now. you are going to respond to immediate needs in your area
following a major disaster. what about here in san francisco, major metropolitan area. what are some possible areas in the city? golden gate bridge, right here. beautiful sunset today, i was watching it as we got here. what else? the bay bridge, candlestick, monster park, 42,000 will be in attendance on any sold out giants game, 62,000 on a 49er game. what else? b of a building. transamerica. this is a major -- so these are -- those are buildings. but what else might you think about? bart, transportation. we'll talk about that. hospitals. city hall. these are possible target areas. as we mentioned, civilian safety is the most important. point to yourself.
your safety is the most important. when you are sizing up what are the dangers, what are your capabilities, what are your limitations. terrorism is no different from a natural disaster. you are going to respond the same way. be nice is not nice. b stands for biological. n is nuclear, i is incendiary and c is chemical. on the bottom scale, we have a likelihood it's going to take place and this scale here is the impact. so nuclear device, think of a nuclear bomb taking place, impact will affect a lot of people, yeah. high impact, what's the probability that a nuclear attack will take place? not that great. as you move on, as the season progresses, then add a chemical release, over here, likelihood gets higher that would take
place, less impact biological and explosive incendiaries. once every two weeks on the average and sometimes 2 -- i have a two in one night my last watch, incendiary incidents happened in the city. the probability it's going to take place, yeah, i'm telling you, on one night we had two incidents take place. people living here in the marina, let's say, did it impact you? no, very low impact. but it happens quite often in san francisco. sizing up, looking at incendiary explosive events, primary danger is obvious. biological chemical -- let's get back here. can you see? biological, radio logical event may take place there.
biological, thinking about anthrax, plague, don't really worry about prairie dog colonies here in san francisco. botulism. routes, you notice we've talked about that before, how would these agents get into our body system? inhaling it, ingesting, eating it or skin absorption, coming in contact with it. nuclear device, there's different types, there's nuclear dirty bombs radioactive release. incendiary incident, any kind of mechanical or electrical device used to start a fire. different nerve factors. the department of transportation, explosive
devices take place, some indicators in environment, are you looking for any type of unattended packages or boxes in high risk areas, liquids, mist -- this is going to be a biological or chemical release. numerous sick or dead animals or birds. any objects that does not seem right, do you want to touch it? i'm not sure what this is, let me jostle it around. no, no, don't do that. move away and report it. remember that. a cell phone, a call, calling 911, using your cell phone may detonate that device. so obviously don't use your cell phone. go to a hard wire phone, land line phone, outside, and call 911. what do we do as first responders. when we come up do we use our
walkie talkies or radio? no. you go to a hard wire phone, call it in and get the information back because it may detonate that using the radio frequency. remember we talked about suspected terrorism is a stop sign for you as nerts. you do not want to get hurt. any questions on the terrorism? bnice is not nice. incident takes place, it takes place here on the left side, this is called the hot zone. you obviously want to be in the cold zone. first responders, we're going to come up to our staging area in the warm area and start moving to get to the incident. you want to be in what zone? the cold zone. uphill, upwind. you believe you have chemicals on your skin or clothing, obviously time is critical. remove everything from your
body, wash your hands, flush your body with water. your safety is no. 1. direct contact with treating victims can expose you to contaminants. these people coming out of the bart might have been exposed to something, do you want to go and start touching them? do you want to let them leave? you are trying to contain them because where are they going to go? probably go to the hospital and then spread it. so call 911, warn others, direct them to wait for responders. hey, stop. help is forthcoming. if you are calling 911, just basic information you should know. is it a fire, is this a crime scene. evacuation is not always the best way. sometimes you want to stay inside your house. chemicals dropped over, this
vapor cloud is coming, coming towards -- hit the golden gate bridge, one direction, now coming toward the marina. pick up your radio, tell the marina residents shelter in place. don't go to your staging area out in the marina green. shelter in place. that may be one of your options. choose a room with no windows, as few as possible. pick a room with toilet, water, phone, have it large enough for family members. precut plastic with duct tape. there should be a law. have your disaster kit in that room, have snacks available for kids. turn off the hvac, heating, ventilation air conditioning units because you don't want to be blowing in or sucking in the vapor cloud outside.
fireplace, close the dampers and seal off your shelter in place room by using duct tape and terms of the emergency alert system. listen to the radio. that's it. do not try to call the school, try to pick up your children because do you want to leave the area? no, you want to shelter in place. people own pets. do not risk your safety for pets. in summary, it is likely you are at an incident that may be involved with bnice, your safety is the most important. limit your time, get your distance away from that and some type of shielding and listen to the emergency alert system, your radio. . >> there's an acronym that we use to use an extinguisher. what's that acronym? we're going to take turns
putting out this fire. you can see that it will make a pretty big mess but at least it put out the fire in your house or something like that. so when we want to shut off electricity is when we see an outlet or something smoking, when you smell that burning smell or if you are not really sure or if you do smell gas and it's safe to do so. if i am in the basement with this set up, this sort of ragedy old set up with switches and i smell gas, is it a good idea to be flicking these? no, because there will be a spark. you should get outside and try to ventilate that garage or enclosed area. these contacts, these are one side and they go into the other
side here. see how they are in there now? that's a closed switch right there. it's actually a 3 pull switch. there's 3 different pulls to this switch. they are open, now they are closed, if it's closed it should -- that's when you want to turn it on and off, when it's closed, and then open it if you have to. if you smell gas, you've probably got a leak. if the building is collapsed, there's probably going to be a leak. those are the 3 times you want to come out here and shut this thing off. it's real easy. you get your wrench and you turn it off. >> if i smell gas should i turn off the one behind my stove? . >> if you smell it coming from your stove, sure. exactly. the only way to figure this out isdo